1981, 05-12 Permit: 81A-4276 Inspect T
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: 5 -12Es/ 77#a-( J
SET BACKS
DATE REMARKS:
`702- h-C7W / lOr
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U ri1-��Y G2/ I1e4�i7 l / j c2�ce S
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PLAti NUMBER -- — • APPLICATION/PERMIT —_ PLnMIT NUMRER - .
L' SPOKANE COUNTY—BUILDING CODES DEPARTMENT M Q'10. 4Z-X pal
NORTH Oil JEFFERSON/SPOKANE,WASHINGTON M3a0/1!0914063075 `
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
Jot)a gooREa 12_4104: 5N14R? /3 AJ LEGAL DESCRf TION—SEE ATTACHED 04. •1'7 0
LUT BLOCK SUBUIVISIUN PARCEL NUMSER/S •1700 yr
a SAN '6RIkte i AZBOWNER E 1981 •1 70034
ADDRE.ESS
SHAKD ZIP Actual sat Peaks m FeN a •000
. CONTRACTOR - ,tomb ISOPth I eft Iweft 42753
p�� PHONE Wm of Parcel Zone Classification
05-04-8.1
4. 5f'+IRIG
AGGRESS - ZIP Type Const. I OeeuPNrtH Sprinklered 3 6479
AML _
ON,' Oleo ❑Rao,.
DESIGNER • PHONE Valuation np Area In Se.Ft.
5. AODRESE - zIP Main Floor I Upon Flood Gic v,Ar~ Stomm
CHANGE OF USE FROM TO Area of Dada I F1nIMea Baxment I Infln,Basement
e. TYPE .�NEw wALT. ❑AWN. ❑RPL ❑SIVE.
No.Eaten I No.Stones No.Rooms \o.of Dwelllnes •
'7' o0 OTHER
ftK 0 M.D.OLD. O ALMS. id MECH.•0 M.H. 0 POOL CERTIFICATE np'a. Roc a rotHaR'a
om.DIA.EXEMPTION C
blSCRIBB WORK En tion(Arm) -
8. IUQDOSURNINC\ -STGVL V s FEES COLLECTED ct
VALVA i0NILRCE OAS ELECTRIC WATER SEWER osega lP USE CODE
D.; UTILITIES Public OPave*0 Single E
I hereby certify that I have read and examined this application end have read the"NOTICE"provisions included
n reverse side/end know the same to be true and correct All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not.The granting of a pm mit does not womanise BWIUIrg
pres
to give authority to violate or cancel the provisions of any other state or local law regulating constriction or the
perforfMtlp of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
.ii
1
DATE OF APPIvICATION__ i.. .y.�SIGNATURE OF APPLICANT ,v._ 1 e��' Meoh, 17•o.,
SPECIAL APPROVALS I •••!UAL CGNOITIOIM:
NAME DATE Plan Check
Tierh inp SEPA
•rCa
Other ISpeoifvl
Mobile Home
1er,,a—.._—�`—
TOTAL S cr.oc,